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General NPI Number Information
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NPI Number | 1881017457
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Entity Type | Organization
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Legal Business Name | CANDACE J TEMPLETON LLC
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Dates
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Enumeration Date | 02/01/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 915 N KENTUCKY ST
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City | KINGSTON
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State | TN
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Zip | 37763-2638
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Country | US
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Telephone | 865-248-8728
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Fax | 865-248-8782
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Provider Business Mailing Address
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Address Line | 915 N KENTUCKY ST
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City | KINGSTON
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State | TN
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Zip | 37763-2638
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Country | US
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Telephone | 865-248-8728
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Fax | 865-248-8782
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CANDACE JOY TEMPLETON
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Credential | FNP
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Telephone | 865-248-8728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18310
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License Number State | TN
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